Topics:
Radiation Oncology • Gynecologic Cancers
What role does radiation plan in a pT1a endometrial cancer with two small metastatic foci in the abdomen found during surgery?
How would you manage a FIGO IA G3 endometrial cancer with no LVSI, lymph nodes not sampled but CT a/p negative for lymphadenopathy, yet 2 foci of cancer in the omentum/bowel mesentery? Would you offer radiation after treatment with systemic therapy?
Answer from: Radiation Oncologist at Academic Institution
I initially had a response and then realized I misread the question.
For small bowel/mesenteric nodules that are resected and confirmed to be metastatic disease, there is no role of adjuvant radiation. Similarly, for the question above, SBRT is not relevant as the nodules have been resected.
Answer from: Radiation Oncologist at Community Practice
I would not offer adjuvant radiotherapy to a patient with mesenteric nodules found during the surgery.
If the nodules were resected, there is no role for adjuvant SBRT. Even if they were not resected, I would reserve any SBRT or EBRT after the patient has been treated with systemic therapy. W...
What are your thoughts about considering post syst...